The physical therapy field is becoming a more advanced skilled profession and continuously changing due to advances in the Orthopaedic Manual therapy. The book aims to help the physiotherapy students have an insight into the aims and means of physiotherapy advances in Manual Therapy of Lower limbs, especially Knee joints. This book’s innovation and research content will relieve the physiotherapists and those pursuing master/Doctorate in orthopaedic manual therapy or PhD to learn new concepts and practice more efficiently. This book is an attempt to make the manual therapy subject easy and comprehensive for physiotherapists. While orthopaedic Manual Therapy is a subset of Physical Therapy, the pathomechanics of the lower limb proposed by Dr. Naveen is a unique subset thereof. Dr. Naveen has proposed and clinically proved to thousands of patients the exact pathomechanics of Varus/medial knee arthritis, Valgus/Lateral knee arthritis and other forms of knee arthritis from knee dysfunction, thereby revolutionizing the exact cause of the arthritis of the knee. With this knowledge, one can diagnose any knee dysfunctions early and treat them with more accuracy. Based on the above (Hip) and below (Foot), Bio and Pathomechanics missing links of lower limb pathomechanics have been solved. Specific three dimensional spring tests are applied for the first time on the knee, hip and foot joint dysfunctions to accurately diagnose and treat. And associated soft tissue assessment and treatment using Deep Friction have been explained in detail. Recent research articles are proved the Mechanics of synovial fluid influx and outflux, Condylar cartilage nutrition, Joint stability and Vascular flow in relation to joint movement and pressure variation inside the joint, which will help us to understand the reversal of knee arthritis to normal with Orthopaedic Manual Therapy without knee replacement. The author’s innovative lower limb pathomechanics will give insight into how Varus and valgus knee will affect the mechanics of the hip and foot and vice versa. Therefore, this innovative pathomechanics will guide a physiotherapist to treat lower limb dysfunctions more accurately. Moreover, to prevent a recurrence. In the preventive aspect of Injury and dysfunction, Physiotherapists can analyze physical stress acted upon specific tissue from the lifestyle of a person and accordingly advise graded strengthening proportionate to physical stress using theory-“physical stress VS tissue strength, adaptation and graded strengthening”.
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